Abstract
In patients with peripheral arterial disease not much is known about the relationship between the localization of the pain and the localization of arterial occlusions in the iliac arteries. Occlusions high in the iliac arteries are assumed to be able to induce pain in the buttocks and upper leg as well as pain in the calves. Several case reports show that the symptoms of arteriosclerotic lesions in the internal iliac artery are often atypical and not easy to diagnose. In this report, 3 patients with internal iliac artery occlusions who were treated with percutaneous transluminal angioplasty (PTA) are described. One patient had isolated pain in the buttock region. In the other 2 patients the initial pain was focused on the buttock region with extension to the calves during exercise. After PTA, 2 patients were free of symptoms, while in the other patient the symptoms improved but did not disappear. Future research should clarify the relation between certain arterial occlusions and the location of the pain.
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Hodgson KJ, Sumner DS (1988) Buttock claudication from isolated bilateral internal iliac arterial stenoses. J Vasc Surg 7:446–448
Jacquinandi V, Bouye P, Picquet J, et al. (2004) Pain description in patients with isolated proximal (without distal) exercise-related lower limb arterial ischemia. Vasc Med 9:261–265
Picquet J, Jaquinandi V, Saumet JL, et al. (2005) Systematic diagnostic approach to proximal-without-distal claudication in a vascular population. Eur J Intern Med 16:575–579
Kofoed SC, Bismuth J, Just S, et al. (2001) Angioplasty for the treatment of buttock claudication caused by internal iliac artery stenoses. Ann Vasc Surg 15:396–398
Morse SS, Cambria R, Strauss EB, Kim B, Sniderman KW (1986) Transluminal angioplasty of the hypogastric artery for treatment of buttock claudication. Cardiovasc Intervent Radiol 9:136–138
Smith G, Train J, Mitty H, Jacobson J (1992) Hip pain caused by buttock claudication: Relief of symptoms by transluminal angioplasty. Clin Orthop 284:176–180
Chaer RA, Faries PL, Lin S, et al. (2006) Successful percutaneous treatment of gluteal claudication secondary to isolated bilateral hypogastric stenoses. J Vasc Surg 43:165–168
Johansen K (1996) Pelvic revascularization by direct hypogastric artery reconstruction. Am J Surg 171:456–459
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Huétink, K., Steijling, J. & Mali, W. Endovascular Treatment of the Internal Iliac Artery in Peripheral Arterial Disease. Cardiovasc Intervent Radiol 31, 391–393 (2008). https://doi.org/10.1007/s00270-006-0106-8
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DOI: https://doi.org/10.1007/s00270-006-0106-8